Pain, depression can go hand in hand

Mar. 6, 2013

Mazin Ellias

Question: How often are patients in pain also depressed? And, what is typically done for that?

Answer: Depression and pain often go hand in hand.

The emotional strain of pain combined with physical pain often can be difficult to manage. Difficultly completing activities of daily living and the activities in your life you once enjoyed can take a toll on mental health specifically. In fact, studies show that up to 50 percent of people with chronic pain have some form of depression.

Sometimes the signs of depression mimic chronic pain, for example chest wall tightness and heart pain, fatigue and other symptoms.

Typically, working with a patient to develop reasonable goals, expectations on pain control and coping strategies is important. In addition, we can work with a patient’s primary care physician to determine if depression specific medication is necessary.

Q: What are some strategies for coping through pain?

A: My first suggestion is often for patients to focus on a healthy lifestyle, including a regular exercise program, healthy eating, meditation, yoga or tai chi and getting adequate amounts of sleep. These components and a regular schedule often can help bring back control and structure to a patient’s life; something pain can often limit.

In addition, there are a number of coping strategies that can prove helpful for patients, such as:

• Open communication with friends and family about your limitations.

• Thinking ahead to plan activities you can complete and enjoy with family and friends that pain will not disrupt.

• Ask for help when you need it (psychological support).

• Look for positives, but maintain realistic expectations.

• Make time for yourself to do simple things you enjoy.

Q: When should you seek help for your pain?

A: You should seek help for your pain when it lasts for longer than a few weeks and simple measures, like ice, heat and rest do not seem to help. In addition, if pain ever begins to interfere with daily activities or work related tasks, you should seek help so you do not exacerbate the problem.

A pain management specialist can help you pin-point the source of pain and help you find an appropriate treatment plan that may involve lifestyle modification, physical therapy, minimally invasive outpatient procedures, medications or alternative therapies. Finally, seeking a psychologist’s help should be considered.